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A F F I D A V I T <br /> State of Nebraska ) <br /> ( s.s. <br /> County of Hall ) <br /> James Livingston, after being first duly sworn, on oath <br /> deposes and says that he is a resident of Grand Island, Hall <br /> county, Nebraska and is a licensed funeral director and embalm- <br /> er in and by the State of Nebraska; <br /> That, on October 17, 1955, Sophia Antonette Schendt, a • <br /> resident of Grand Island, Hall county, Nebraska, died in Grand <br /> Island, Nebraska and that he did prepare her body Efr burial on <br /> that date; <br /> That, on October 20, 1955, he did supervise t)ie burial of <br /> the body of Sophia Antonette Schendt in Westlawn 'emorial Park <br /> cemetery, located in Hall county, near to Grand Island, Nebraska; <br /> That, he did see the dead body of Sophia Antonette Schendt <br /> and did positively identify same. <br /> Further, affiant sayeth not. <br /> Signed at Grand Island, Nebraska this _ <br /> Lilflea <br /> ___� <br /> day of - -------, 195 <br /> ar + / .4f J __ <br /> i_ <br /> i WTfian_ -�� <br /> - !,l,r� --gubscribed and sworn to•,•efore me, a notary public , on <br /> `� ',�':bhYS', _ _7 day of _ fisr...._ --- , 195 <br /> notary public <br /> ,,;, My�''c�ri'iniasion expires _ �_/9,..�.�__-_-- <br /> Filed for record November 26,1955 at L1:00 A.M. <br /> 4-,, Zoe <br /> Register of Deeds. Hall County, Nebr. <br /> -Zlg <br />
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